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Petechiae, Purpura and Vasculitis

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Case Four: Skin Exam<br />

• Normal vital signs<br />

• General: appears well in NAD<br />

• Skin exam: palpable hemorrhagic<br />

papules coalescing into plaques,<br />

bilateral <strong>and</strong> symmetric on lower<br />

extremities<br />

• Also with bilateral pedal edema<br />

• Labs: normal CBC, PT, PTT, INR<br />

• ANA < 1:40<br />

• Negative ANCA, cryoglobulins<br />

• HIV negative, negative hepatitis<br />

serologies (except for HBVsAb positive)<br />

57

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